Study Club Member Ryan
Study Club Member
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Ryan posted an update 4 months ago
CUSTOM HEALING ABUTMENTS
Hey folks! Hope everyone had a wonderful thanksgiving!
I went down a custom healing abutment rabbit hole yesterday and wound up with a few lingering questions.
The protocol for immediate implants makes total sense.. but how can we make custom healing abutments for delayed implant placement?? Does anyone do this and have…
Erick, Mic and Ivan24 CommentsView more comments-
Hey @RYAN Thanks for sharing this man. You got me going down the rabbit hole as well.
I’ve periodically make them to use on the day of implant placement. Not so frequently as a stage 2 procedure.
A couple things:
The product you shared led me to several instructional videos that tried to teach me to use some free new software. The truth is, i…
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@mickyfrick are you messing around with custom healing abutments much?
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Ivan to Ryan 4 months ago
4 months ago (edited)
LOST ROOT TIP
To piggyback on the theme of @RYAN ‘s WTF Wednesday post... Take a look at this little complication.
I extracted #14 by sectioning it, however a little piece of root tip fractured off of the palatal root. I considered leaving it, but figured I would try one last time with the root tip pick. As I reached for the root tip and gave it…
What should we do about the root tip?
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WTF is right!
Sounds like it’s time to find a new OS to refer to.. that’s ridiculous how they handled it
Is a root tip in the sinus usually handled like a tooth displaced into the infratemporal fossa? Let it fibrose? Or do they usually like to go after them in the sinus right away?
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I am not a fan of leaving root tips behind so I’m sure I would’ve done the same and ended up in the same boat!
I would have called another OS to get the patient in right away though. If the OS isn’t available same day for cases like this.. then they won’t be getting my referrals anymore.
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Ryan posted an update 4 months ago
WIN WEDNESDAY started as WTF WEDNESDAY
38yo Female
#25 was lost in a car accident and replaced with this absolute beast of an implant @ 18yo
Last month, the patient presented with #26 broken off at the gumline, so I extracted it with the intent to remove the existing crown on #25 and replace it with a new custom abutment, crown… Read more
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I’m still on the edge of my seat here man! Did you have a replacement screw? 🍿
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Not a fan of cantilever because it overloads the base implant to carry more weight and pressure than it was intended to, so that’s why I always avoid such a treatment plan. Now I do understand that we always have to work with what we are presented with and the problem with the case here is that the implant was supposed to be at a different angle… Read more
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Here’s the recording from this afternoon’s case review! @Lori @RYAN we discussed the cases you guys shared with us. Nice meeting ya @chasec_dds , @DrS !
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So sorry I missed it! Some of us have to work 😉
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I appreciate the conversations that were had!
I especially like what you said about maybe we lean on implants too much when we could just make good dentures to begin with 😂
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Ryan to Ivan and Jedediah 4 months ago
Didn’t expect this case to walk in the door today..
New patient exam. 82 yo Male who was recently diagnosed with stage IV prostate cancer. His oncologist told him he needed a dental exam prior to beginning his cancer treatment.
Patient’s CC: “My denture has gotten a little loose over time, can you reline it?”
Maxillary arch: 4 implants with…
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Definitely a can of worms. Given his situation it sounds like we want to make the best with what we can it get him healthier and ready for larger more important treatment. I would most likely do something similar. I would cut the bar and try to use the two anterior implants and get what function out of them I can and reline and/or do a…
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Super interesting case Ryan. Do you have any additional pictures?
Helping patients in this situation can be tough.
The back two implants are obviously goners. Your plan to remove them is sound.
You might consider removing the bar and sectioning it to remove the back two implants.
The anterior portion can stay intact. You can re-insert the…
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Ryan posted an update 4 months ago
Posting something 😁
Excited to see this platform taking off now!
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hahahaha technically qualifies!
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Hi you won a mystery prize! Shoot me your mailing address in DM 🙂
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